Individual
MACKENZIE TAYLOR ROBICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1210 PONTIAC AVE, CRANSTON, RI 02920-4484
(800) 679-3609
Mailing address
535 8TH AVE FL 9, NEW YORK, NY 10018-2486
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA00489
RI
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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